>Micki, IBCLCs need to send an HCP report on every consultation or 
>helping situation they do. It is unethical otherwise.


Interesting - I think I am right in saying that it's the opposite 
here:   IBCLCs in private and state practice in the UK would be 
*breaking the law*, and considered to be acting *unethically*, if 
they did this unless the client gave permission to do so.

Most health service breastfeeding support here is given by midwives 
and health visitors (a sort of community health nurse) and the 
clients are 'theirs', even though just about everyone is also 
registered with a general practitioner as well. They do not routinely 
communicate with the GP, and would only do so having asked the client 
first, and only if there seemed to be a relevant medical issue.

This is just one of the challenges in establishing a 'one size fits 
all' set of rules when you are covering the globe :)

Heather Welford Neil
NCT  bfc, tutor, UK

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www.lsoft.com/LISTSERV-powered.html